Title
a. Receive a Health Department, Clinic Services Bureau report on the financial status of the Clinic Services standalone clinics on the Natividad campus and conversion of standalone clinics on the Natividad campus to intermittent clinics to improve financial stability of the Clinic Services Bureau; and
b. Approve the conversion of standalone clinics on the Natividad campus to intermittent clinics to improve financial stability of the Clinic Services Bureau, effective May 3, 2025, which will result in an estimated revenue shortfall of $6.5 million in Fiscal Year (FY) 2024-25 (4/5ths vote required); and
c. Direct staff to provide future updates to the Board of Supervisors Budget Committee as appropriate.
Report
RECOMMENDATION:
It is recommended that the County of Monterey Board of Supervisors:
a. Receive a Health Department, Clinic Services Bureau report on the financial status of the Clinic Services standalone clinics on the Natividad campus and conversion of standalone clinics on the Natividad campus to intermittent clinics to improve financial stability of the Clinic Services Bureau; and
b. Approve the conversion of standalone clinics on the Natividad campus to intermittent clinics to improve financial stability of the Clinic Services Bureau, effective May 3, 2025, which will result in an estimated revenue shortfall of $6.5 million in Fiscal Year (FY) 2024-25 (4/5ths vote required); and
c. Direct staff to provide future updates to the Board of Supervisors Budget Committee as appropriate.
SUMMARY/DISCUSSION:
The Health Department’s Clinic Services Bureau clinics are Federally Qualified Health Centers (FQHC) that provide primary care, dental, chiropractic, and specialty care services to Monterey County residents. As an FQHC system, the Clinic Services Bureau is reimbursed under the Prospective Payment System (PPS), a state-administered model designed to cover the cost of providing care to Medi-Cal patients. These PPS rates, set by the Depa...
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